Simple Congenital Heart Dz Flashcards
on boards, not real life, how do you calculate Qp/Qs
SVrvot/SVlvot = (RVOT D^2 x .785 x RVOT TVI)/(LVOT D^2 x .785 x LVOT TVI)
Dx?
Secundum ASD
Dx?
Primum ASD & Cleft MV (look for anterior MV leaflet hole and flow and ofcourse AV valves at same level)
Dx and association?
double orifice MV, Primum ASD (also look for AV valves at same level)
Dx in this TEE bicaval view?
Sinus Venosus ASD
what vein does sinus venosus ASD usually involve?
SVC
Dx & association on this high ME TEE view?
Anomalous PV return and Sinus Venosis ASD
Dx?
Coronary Sinus ASD (big right heart, “find the shunt!”, tear drop LA)
does a VSD cause L or R heart dilatation?
L
If you see color flow in this view, suspecting a outlet vs membranous VSD, what is next step?
get SAX view to decipher
Name the 2 types of VSDs
Dx?
mem. VSD
this is supracristal/outlet VSD (seen at 3 o’clock instead of 9-12 like membranous). how do you differentiate it from a PR jet?
PR only in diastole. VSD mainly in systole
(abd Ao) Dx? why?
Coarctation. holodiastolic flow, slow peaking systolic flow (normal is quick up and down)
will PDA enlarge the L or R heart?
L
congential dx?
ebsteins
apical displacement of septal leaflet of TV > 8mm seen in?
Ebstein’s
Primum ASD–> LVOT obstruction and Cleft MV
what is the purpose of surgical correction of outlet VSD?
prevent progression of AR
what genetic abnormality is associated with secundum ASD?
Holt Oram (weird thumb)
associated lesion with ebstein’s?
ASD
AV valves at same level, think of?
Primum ASD
